ArticleInternational journal of nephrology and renovascular disease2016
Effects of socioeconomic status on physical and mental health of hemodialysis patients in Japan: differences by age, period, and cohort.
Article in International journal of nephrology and renovascular disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- Association between Financial Hardship and Symptom Burden in Patients Receiving Maintenance Dialysis: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- The effect of recreational therapy application on depression in hemodialysis patients: a randomized clinical trial.International urology and nephrology · 2025Trial
- Geographical Distribution of Patients With Chronic Kidney Disease Receiving Hemodialysis Care in Northwest Iran: A Retrospective Cross-Sectional Study.Health science reports · 2026Article
- Household wealth and its association with non-adherence, quality of life, anxiety and depression amongst hemodialysis patients in two centers in Cameroon.BMC nephrology · 2025Article
- Influences of Financial Strains Over the Life Course Before Initiating Hemodialysis on Health Outcomes Among Older Japanese Patients: A Retrospective Study in Japan.International journal of nephrology and renovascular disease · 2022Article
- Assessment of psychological distress in end stage renal disease: is it spirituality related?Medicine and pharmacy reports · 2021Article
- Cross-classified multilevel models (CCMM) in health research: A systematic review of published empirical studies and recommendations for best practices.SSM - population health · 2020Review
- Article
- Psychosocial Mediators between Socioeconomic Status and Dietary Restrictions among Patients Receiving Hemodialysis in Japan.International journal of nephrology · 2019Article
- Factors Associated with Hemodialysis Machine Dependency.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2017Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
study purposeWhether or not socioeconomic status (SES)-related differences in the health of hemodialysis patients differ by age, period, and birth cohort remains unclear. We examined whether SES-related gaps in physical and mental health change with age, period, and birth cohort for hemodialysis patients.
methodsData were obtained from repeated cross-sectional surveys conducted in 1996, 2001, 2006, and 2011, with members of a national patients' association as participants. We used raking adjustment to create a database which had similar characteristics to the total sample of dialysis patients in Japan. SES was assessed using family size-adjusted income levels. We divided patients into three groups based on their income levels: below the first quartile, over the second quartile and under the third quartile, and over the fourth quartile. We used the number of dialysis complications as a physical health indicator and depressive symptoms as a mental health indicator. We used a cross-classified random-effects model that estimated fixed effects of age categories and period as level-1 factors, and random effects of birth cohort as level-2 factors.
resultsRelative risk of dialysis complications in respondents below the first quartile compared with ones over the fourth quartile was reduced in age categories >60 years. Mean differences in depressive symptoms between respondents below the first quartile and ones over the fourth quartile peaked in the 50- to 59-year-old age group, and were reduced in age groups >60 years. In addition, mean differences varied across periods, widening from 1996 to 2006. There were no significant birth cohort effects on income differences for dialysis complications or depressive symptoms.
conclusionThe number of dialysis complications and depressive symptoms in dialysis patients were affected by income differences, and the degree of these differences changed with age category and period.
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